64629S — Therm Dstr Ios Bvn Ea Addtl Lum/sac
Cite this view
HANK Price Transparency. (n.d.). THERM DSTR IOS BVN EA ADDTL LUM/SAC (OTHER 64629S) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/64629S?code_type=OTHER
“THERM DSTR IOS BVN EA ADDTL LUM/SAC (OTHER 64629S) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/64629S?code_type=OTHER. Accessed .
“THERM DSTR IOS BVN EA ADDTL LUM/SAC (OTHER 64629S) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/64629S?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $13,905–$18,540 (25th–75th percentile) across 1 hospital · 5 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 64629S — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| RICELAND MEDICAL CENTER Both | Blue Cross Blue Sheild | Advantage Hmo Network | $10,506.00 | $30,900.00 | $30,900.00 | 2026-05-17 | MRF ↗ |
| RICELAND MEDICAL CENTER Both | Blue Cross Blue Sheild | Essentials Network | $11,742.00 | $30,900.00 | $30,900.00 | 2026-05-17 | MRF ↗ |
| RICELAND MEDICAL CENTER Both | United Healthcare | Commercial | $13,905.00 | $30,900.00 | $30,900.00 | 2026-05-17 | MRF ↗ |
| RICELAND MEDICAL CENTER Both | Blue Cross Blue Sheild | Traditional Indemnity | $13,905.00 | $30,900.00 | $30,900.00 | 2026-05-17 | MRF ↗ |
| RICELAND MEDICAL CENTER Both | Blue Cross Blue Sheild | Ppo/Pos Network | $13,905.00 | $30,900.00 | $30,900.00 | 2026-05-17 | MRF ↗ |
| RICELAND MEDICAL CENTER Both | Cigna Healthcare | Commercial | $17,489.40 | $30,900.00 | $30,900.00 | 2026-05-17 | MRF ↗ |
| RICELAND MEDICAL CENTER Both | Humana Choice Care | Commercial | $18,540.00 | $30,900.00 | $30,900.00 | 2026-05-17 | MRF ↗ |
| RICELAND MEDICAL CENTER Both | Aetna Health Inc. | Ppo | $18,540.00 | $30,900.00 | $30,900.00 | 2026-05-17 | MRF ↗ |
| RICELAND MEDICAL CENTER Both | Aetna Health Inc. | Hmo | $18,540.00 | $30,900.00 | $30,900.00 | 2026-05-17 | MRF ↗ |
| RICELAND MEDICAL CENTER Both | Aetna Health Inc. | Medicare Advantage | $25,338.00 | $30,900.00 | $30,900.00 | 2026-05-17 | MRF ↗ |